Deep Seated Cerebral Hydatid Cyst and Its Anesthetic Considerations: A Case Report

Abstract

In the current study, we reported a successfully managed case of giant cerebral hydatid cyst in a 59-year-old male. Cerebral hydatid disease is a rare manifestation of echinococcosis representing 1%-2% of all cases with hydatid disease. The mainstay of its treatment is surgical excision of entire intracranial cystic lesion, avoiding intra-operative rupture, which can result in subsequent recurrence or anaphylactic reaction. The surgery can be associated with intraoperative complications (including anaphylaxis, bleeding, neurological deficits, development of subdural effusion, epidural hematoma, and pneumocephalus), especially in the cases where the cyst is infected. All of these complications are of significant concern for the anesthesiologists. Thus, it is of paramount importance for anesthesiologists to consider the intra-operative challenges and possible required actions preoperatively.

A Case Report of Primary Brain Hydatid Cyst in a Child

“…In such cases, hypoventilation is done to increase the PaCO2 and the Valsalva maneuver may be used in Trendelenburg position [15]. High index of suspicion is required to diagnose an anaphylactic reaction and to manage it byearly aggressive surgical treatment and delivering 100% oxygen with epinephrine infusion and massive fluid resuscitation.…”

“…High index of suspicion is required to diagnose an anaphylactic reaction and to manage it byearly aggressive surgical treatment and delivering 100% oxygen with epinephrine infusion and massive fluid resuscitation. To prevent and treat the refractory hypotension, prophylactic hydrocortisone supplementation is also rec-ommended [15]. The proper protocol should be followed as represented in the schematic flowchart (Figure 5).…”